Organization
WALLA WALLA VAMC
Active
Other names
WALLA WALLA VAMC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN DENISE POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
77 WAINWRIGHT DR, WALLA WALLA, WA 99362-3975
(509) 525-5200
(509) 527-6137
Mailing address
PO BOX 94423, CLEVELAND, OH 44101-4423
(702) 341-3164
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4912653
NCPDP#
WA
Enumeration date
05/04/2006
Last updated
10/24/2018
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